TY - JOUR
T1 - Frequency of Dietary Recalls, Nutritional Assessment, and Body Composition Assessment in Men with Chronic Spinal Cord Injury
AU - Gorgey, Ashraf S.
AU - Caudill, Caleb
AU - Sistrun, Sakita
AU - Khalil, Refka E.
AU - Gill, Ranjodh
AU - Castillo, Teodoro
AU - Lavis, Timothy
AU - Gater, David R.
N1 - Funding Information:
Supported by the Department of Veteran Affairs, Veteran Health Administration, Rehabilitation Research and Development Service (grant no. B7867-W).
Publisher Copyright:
© 2015 American Congress of Rehabilitation Medicine.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Objectives To assess different frequencies of dietary recalls while evaluating caloric intake and the percentage of macronutrients in men with spinal cord injury (SCI) and to examine the relations between caloric intake or percentage of macronutrients and assessment of whole and regional body composition using dual-energy x-ray absorptiometry. Design Cross-sectional and longitudinal. Setting Laboratory and hospital. Participants Men with chronic (>1y postinjury) motor complete SCI (N=16). Interventions Participants were asked to turn in a 5-day dietary recall on a weekly basis for 4 weeks. The averages of 5-, 3-, and 1-day dietary recalls for caloric intake and percentage of macronutrients (carbohydrates, fat, protein) were calculated. Body composition was evaluated using whole-body dual-energy x-ray absorptiometry. After overnight fast, basal metabolic rate (BMR) was evaluated using indirect calorimetry and total energy expenditure (TEE) was estimated. Main Outcome Measures Caloric intake, percentage of macronutrients, BMR, and body composition. Results Caloric intake and percentage of macronutrients were not different after using 5-, 3-, and 1-day dietary recalls (P>.05). Caloric intake was significantly lower than TEE (P<.05). The percentage of fat accounted for 29% to 34% of the whole and regional body fat mass (P=.037 and P=.022). The percentage of carbohydrates was positively related to the percentage of whole-body lean mass (r=.54; P=.037) and negatively related to the percentage of fat mass. Conclusions The frequency of dietary recalls does not vary while evaluating caloric intake and macronutrients. Total caloric intake was significantly lower than the measured BMR and TEE. Percentages of dietary fat and carbohydrates are related to changes in body composition after SCI.
AB - Objectives To assess different frequencies of dietary recalls while evaluating caloric intake and the percentage of macronutrients in men with spinal cord injury (SCI) and to examine the relations between caloric intake or percentage of macronutrients and assessment of whole and regional body composition using dual-energy x-ray absorptiometry. Design Cross-sectional and longitudinal. Setting Laboratory and hospital. Participants Men with chronic (>1y postinjury) motor complete SCI (N=16). Interventions Participants were asked to turn in a 5-day dietary recall on a weekly basis for 4 weeks. The averages of 5-, 3-, and 1-day dietary recalls for caloric intake and percentage of macronutrients (carbohydrates, fat, protein) were calculated. Body composition was evaluated using whole-body dual-energy x-ray absorptiometry. After overnight fast, basal metabolic rate (BMR) was evaluated using indirect calorimetry and total energy expenditure (TEE) was estimated. Main Outcome Measures Caloric intake, percentage of macronutrients, BMR, and body composition. Results Caloric intake and percentage of macronutrients were not different after using 5-, 3-, and 1-day dietary recalls (P>.05). Caloric intake was significantly lower than TEE (P<.05). The percentage of fat accounted for 29% to 34% of the whole and regional body fat mass (P=.037 and P=.022). The percentage of carbohydrates was positively related to the percentage of whole-body lean mass (r=.54; P=.037) and negatively related to the percentage of fat mass. Conclusions The frequency of dietary recalls does not vary while evaluating caloric intake and macronutrients. Total caloric intake was significantly lower than the measured BMR and TEE. Percentages of dietary fat and carbohydrates are related to changes in body composition after SCI.
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U2 - 10.1016/j.apmr.2015.05.013
DO - 10.1016/j.apmr.2015.05.013
M3 - Article
C2 - 26047531
AN - SCOPUS:84940462397
SN - 0003-9993
VL - 96
SP - 1646
EP - 1653
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 9
ER -